{"code":"HSC","codeName":"Health and Safety Code","section":"1399.55","citation":"Health & Saf. Code, § 1399.55","status":"in-force","lawOn":"2026-09-28","headings":[{"name":"DIVISION 2. LICENSING PROVISIONS [1200. - 1796.88.]","url":"https://blackletter.si/health-and-safety-code/division-2"},{"name":"CHAPTER 2.2. Health Care Service Plans [1340. - 1399.874.]","url":"https://blackletter.si/health-and-safety-code/division-2/chapter-2.2"},{"name":"ARTICLE 9.5. Claims Reviewers [1399.55. - 1399.57.]","url":"https://blackletter.si/health-and-safety-code/division-2/chapter-2.2/article-9.5"}],"history":"Added by Stats. 1992, Ch. 544, Sec. 1.   Effective January 1, 1993.","effective":"1993-01-01","html":"<p>Health care service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.</p>","text":"Health care service plans shall, upon rejecting a claim from a health care provider or a patient, and upon their demand, disclose the specific rationale used in determining why the claim was rejected. Nothing in this section is intended to expand or restrict the ability of a health care provider or a patient from having health care coverage approved in advance of services.","otherVersions":[],"url":"https://blackletter.si/health-and-safety-code/claims-reviewers-1399-55","source":"California Legislative Information bulk export (pubinfo)"}